Individual provider · Type 1 NPI

Penny Jaymes Clark, L.M.H.C.

Mental Health Counselor · North Liberty, IA

NPI number 1912220161 Active

Practice location

1290 Jordan St
North Liberty, IA 52317-8020

Call (319) 356-6352 Map

Fax (319) 358-2367

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X00733 (IA)

Mental Health Counselor: Definition to come...

26 other providers at this address

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About NPI 1912220161

Penny Jaymes Clark, L.M.H.C.'s National Provider Identifier is 1912220161, issued on Mar 2, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Liberty, IA. The record was last updated on Jul 21, 2022.